Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lee A Diederick, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1699792556

Lee A Diederick, CRNA is a Certified Registered Nurse Anesthetist in Fargo, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

737 Broadway
Fargo, ND 58122-0001
Phone: (701) 234-6258
Fax: (701) 234-2345
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R15726 (ND)

Record details

NPI number1699792556
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJuly 16, 2006
Last updated in NPPESSeptember 24, 2008
Mailing address737 Broadway, Fargo, ND 58122-0001

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